Dr. Brian Sims is a physician based out of Birmingham, Alabama and his medical specialization is Pediatrics - Neonatal-perinatal Medicine. He practices in Birmingham, Alabama and has the professional credentials of M.D.. The NPI Number for Dr. Brian Sims is 1225085608 and he holds a License No. 25370 (Alabama).His current practice location address is 619 20th Ave S, Nhb 525, Birmingham, Alabama and he can be reached out via phone at 205-934-6450 and via fax at 205-934-3100. You can also correspond with Dr. Brian Sims through mail at his mailing address at Po Box 55823, , Birmingham, Alabama - 35255-5823 (mailing address contact number - 205-996-2244).

Provider Profile Details:

NPI Number

1225085608

Provider Name

Dr. Brian Sims

Credential

M.D.

Specialization

Pediatrics - Neonatal-perinatal Medicine

Gender

Male

Provider Entity Type

Individual

Provider Enumeration Date

05/30/2006

Last Update Date

07/08/2007

Medicare Participation Status:
As per our records, Dr. Brian Sims does not participate in Medicare program. Non-participating providers haven't signed an agreement to accept assignment for all Medicare-covered services, but they can still choose to accept assignment for individual services. These providers are called "non-participating". You might have to pay the entire charge at the time of service.

Provider's Legacy Identifiers:

Identifier

Identifier Type

Identifier State

Identifier Issuer

515-34384

Other

AL

BC & BS

Provider Business Practice Location Address Details:

Address

619 20th Ave S, Nhb 525

City

Birmingham

State

Alabama

Zip

35205-6417

Phone Number

205-934-6450

Fax Number

205-934-3100

Provider Business Mailing Address Details:

Address

Po Box 55823,

City

Birmingham

State

Alabama

Zip

35255-5823

Phone Number

205-996-2244

Fax Number

205-996-2254

Provider's Primary Taxonomy Details:

Type

Allopathic & Osteopathic Physicians

Speciality

Pediatrics - Neonatal-perinatal Medicine

Taxonomy

2080N0001X

Licence No.

25370 (Alabama)

Definition:

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

What is a NPI Number? : The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty.
The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Where NPI should be used? : The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. There are two categories of health care providers for NPI enumeration purposes. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses).
Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers.

Who must obtain NPI? : All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations [HMOs], suppliers of durable medical equipment, pharmacies) must obtain an NPI.
The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. A covered health care provider, under HIPAA, is any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard, even if the health care provider uses a business associate to do so.